The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

  • Recent Posts

  • Recent Comments

    Nonpharmacological recommendations to foster sleep

    Dr. Anna Morin and colleagues from the Massachusetts College of Pharmacy and Health Sciences report, “Most nonpharmacologic interventions can be combined with one another or with pharmacologic interventions to optimize outcomes, particularly in those with chronic and debilitating insomnia.”

    Their article is well referenced and discusses many options. But most interesting is the mention of a 1999 review of the benefits from nonpharmacological treatments of chronic insomnia.

    Here are the key points.

    • They produce reliable and durable changes in several sleep parameters of chronic insomnia sufferers.
    • Between 70% and 80% of treated patients benefit.
    • For typical patients, treatment reduces the time until they fall asleep and/or the time to awakening after sleep to below or near the 30-minute criterion used to define the severity of insomnia.
    • Sleep duration is increased by a modest 30 minutes
    • Sleep quality and satisfaction with sleep patterns are significantly enhanced.
    • Sleep improvements achieved are sustained for at least 6 months.
    • However, there is no clear evidence that improved sleep leads to meaningful changes in daytime well-being or performance.

    At the time of this review, 3 treatments met the American Psychological Association (APA) criteria for psychological treatments for insomnia: stimulus control, progressive muscle relaxation, and paradoxical intention. Other treatments that met APA criteria for probably efficacious included sleep restriction, biofeedback, and multifaceted cognitive-behavior therapy.

    Dr. Morin’s article will bring you up to date.

    7/10/07 21:12 JR

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